MARIA KELLEY NP NPI 1326597683

NPI Information

NPI: 1326597683
Provider Name: MARIA KELLEY, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: POUDRE VALLEY MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
2121 E HARMONY RD UNIT 100
FORT COLLINS, CO
ZIP 80528
Phone: (970) 221-1000
Get Directions

Maria Kelley, NP is a gerontology nurse practitioner in Fort Collins, CO with 8 years of experience. Maria Kelley, NP NPI is 1326597683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2121 E HARMONY RD UNIT 100
FORT COLLINS, CO
ZIP 80528-401
Phone: (970) 221-1000
Fax: (970) 297-6844

The NPI 1326597683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 11/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN.0992709-NP	COLORADO	No
2	163W00000X	Registered Nurse		0198115	COLORADO	No
3	363LG0600X	Nurse Practitioner	Gerontology	APN.0992709-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICARE PIN	COLORADO
2	PENDING	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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